EFTA01583229.pdf

SAN 2 41 I SD Lein eSb0I J. P. Morgan J.P. Morgan Account Suitability Supplement A. Account Information (required for )PMS Brokerage and Investment Management accounts) Title of Account: SOUTHERN TRUST COMPANY, INC Personal Accounts O Individual O /Dint OTWROSOAWROS for TX residents) O Tenants in Common O Tenants by the Entirety In Transfer on Death (TOO) ❑ UTMA,'UGMA ❑ IRA O Community Property Primary Account Owner: Number of Dependents Name of Employer VRt ai&kei Total Net Worth excl. Owner Annual Income (S) Liquid Net Worth (5) primary residence (5) Joint Account Owner: Annual Income ($) Entity Account* ▪ Corporation O Partnership ❑ PIC/PtIC (applicable to international entities only) O sale PriprietOrthlp O Foundation O Endowment O Limits Liability Company O Limited Liability Partnership O Other Non Profit Liquid Net Worth (5) 25,000,000 Total Net Worth (5)30,000,000 Annual Income (3) 5,000,000 Trust/Estate Accounts O Foundation ❑ ERISA Plan O Other Charitable Trust O Other O Trust O Estate O Endowment Trust/Estate Liquid Net Worth (5) Trust/Estate Total Net Worth (5) t accounts) B. Affiliations (required for )PMS Brokerage and Investment Managemen Applicable to account owners or authorized signers or trustees and executors. gives material support to me Is, or has been, a I. my spouse, or Immediate family member who receives material support from me or O Yes 0 No corporation's stock: director, corporate officer, control person, affiliate or an owner of 10% of a public Name of corporation If yes, name of person O Yes kg No If yeS, Is the corporation traded publicly on a U.S. Stock exchange? receives material support from me or gives material support to me, or an individual I, my spouse, immediate family member who -dealer, a futures or securities exchange, the NFA or FINRA, controlling the account is employed by or associated with an FCM, broker the CFTC, SEC or the MSRB: O Yes 0 No Name of employee/assoc. If yes,* name of employer is an employee of a financial institution or Insurance Accountholder or immediate family member or another hOusehold member company: O Yes IS No If yes'', name of institution Name of employee/assoc. on corporate letterhead to Open a •If Yes, Broker-Dealer and FINRA member financial institutions must provide written permission Brokerage, Margin, or Investment Management account. only) C. Brokerage Account Information (required for )PMS Brokerage accounts Investment Profile O Capital Preservation O Income Generation 0 Capital Appreciation My objective for this account (check one): but may be ri der than other Investments because I may Speculative or aggressive investments that may generate higher returns lose all or part of my investment (check one): 2; Me permitted In this account LI Are not permitted In this account ❑ Compensation O Pension O Other Primary source of income: 0 Investments please indicate the number of years of personal trading experience for the authorized party(s) on this account: Fettiermtdibes 10 Mutual 10 Pledge Funds/ 10 SPOSti:t ts 10 o pbons 10 ElIlse/4W 1° ;Zi t te nts 10 Stocks 1° Bonds 1° FX I currently have brokerage accounts with the following (Inns: NO Approximate value of investable assets held away from the firm? s 1.000.000 Those assets are invested In the following Asset Classes: I2Equitles BMW Income & Cash ®Alternative Investments ['Other Equities 12:1 Fixed Income & Cash 0 Alternative Investments °Other Most of those assets are invested in; E) Liquidity hoods, end Secondary Uquidity needs Check only one selection for Investment ?Imo Horizon, Primary ❑ Less than 1 year O 1.5 years 0 6.10 years kg Greater than 10 years Investment Time Horizon: Primary Uquldity Needs: [(Short Tenn O Medium Term IN Long Term O None Secondary Liquidity Needs: O Short Term O Medium Term 0 Long Term O None SOUTHERN TRUST COMPANY, INC Title 239150 SRN 0222035463 CAS J.P. Morgan Use Only Page 1 of 2 NELSON 0 JUSTIN Banker/Investor 3/13 1522 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062863 EFTA01583229